You speak with much wisdom Myers, thank you.

A little about me - I've spent much of my working life with people with a variety of disorders having worked with people with severe personality disorders in 'halfway' houses and day centres. I don't want to say too much about that as that would not be good for confidentiality etc. I've also worked with learning disabilities adults and children, and people with physically disabilities with psychological problems.

My favourite therapy methods are Motivational Interviewing, Rational Emotive Behaviour therapy and CBT and holistic therapy. I have a great fondness for transactional analysis as knowing about all parts of the personality lead to a better understanding of self. Physical exercise has been shown to be very beneficial in the early stages of treatment.

I'm not saying that someone with a severe personality disorder will suddenly become a different personality, I'm saying that there is a way to cope with it, once able to cope and have learnt strategies to deal with feelings/or lack of!

You are right in that some therapists will not work with particular people with a certain diagnosis and there is the fact that many antisocials/psychopaths won't engage in the process or drop out. Therapy can take years. In my view and from experience many are extremely intelligent and will try all sorts of ploys and threats but I look on this as testing the trust (or lack of) of the therapeutic relationship.

You said that some antisocials become worse with therapy. Actually you'll find that an awful lot of people (pretty much anyone) get worse before they start to feel better! You can see where that drop out rate is coming from yeah?

Regarding your questions about testing, I don't do testing, I'm a psychologist, not a psychiatrist. In my country that's the psychiatrists job, I just do therapy, sorry.